JAMES EARL REAVIS (NPI# 1992854665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992854665 |
| Entity Type | Individual |
| Full Name | JAMES EARL REAVIS |
| Credential | LCSW |
| Practice Address |
1133 Nw 21st Ave Portland OR 97209-1513 |
| Mailing Address |
2056 Nw Flanders St Apt 3 Portland OR 97209-1135 |
| Practice Telephone | 5032225010 |
| Mailing Telephone | 5039360938 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
666 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619089406 | James Alton Reavis Jr. | Psychologist | 964 Fifth Ave, #200, San Diego, CA 92101-6102 | 2006-08-31 |
| 1134603285 | James Lee Reavis | Counselor | 1439 Thunderbolt Dr, Walterboro, SC 29488-9341 | 2018-09-24 |
| Street Address |
1133 NW 21ST AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366424681 | Luahna Ude | Psychologist | 1133 Nw 21st Ave, Portland, OR 97209-1513 | 2005-11-14 |
| 1861974776 | Mary Lee Nichols Phd LLC | Psychologist | 1133 Nw 21st Ave, Portland, OR 97209-1513 | 2018-09-06 |
| 1679024327 | Marney Hoffman, Phd | Counselor | 1133 Nw 21st Ave, Suite 201, Portland, OR 97209-1513 | 2016-10-18 |
| 1063768893 | Robert Poe | Psychologist | 1133 Nw 21st Ave, Suite 204, Portland, OR 97209-1513 | 2012-07-30 |
| 1538332499 | Lisa P. Senders | Psychologist | 1133 Nw 21st Ave, Suite 203, Portland, OR 97209-1513 | 2008-04-10 |
| 1740468867 | Kathryn Senders | Counselor | 1133 Nw 21st Ave, Portland, OR 97209-1513 | 2008-01-31 |
| 1053517110 | Mary Nichols | Psychologist | 1133 Nw 21st Ave, Portland, OR 97209-1513 | 2007-06-26 |
| 1831314541 | Luahna Ude, Phd, PC | Psychologist | 1133 Nw 21st Ave, Portland, OR 97209-1513 | 2007-04-16 |
| 1801019641 | Anne K Robertson | Psychologist | 1133 Nw 21st Ave, Portland, OR 97209-1513 | 2007-04-10 |
| 1992844575 | Pete Morones | Psychologist | 1133 Nw 21st Ave, Portland, OR 97209-1513 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1275131534 | Alice Hacker | Social Worker | 14702 Se Rhone St, Portland, OR 97236-2557 | 2020-10-09 |
| 1598372070 | Kristin Elizabeth Hajny | Social Worker | 9343 Sw Camille Ter, Portland, OR 97223-7042 | 2020-09-28 |
| 1821605759 | Melanie Smith | Social Worker | 4210 N Juneau St, Portland, OR 97203-2063 | 2020-09-24 |
| 1871100867 | Purely Spirit Holistic Health, LLC | Social Worker | 226 Stevens Ave Apt 9, Portland, ME 04102-2263 | 2020-09-24 |
| 1023624780 | Flourish Counseling and Consulting LLC | Social Worker | 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 | 2020-09-18 |
| 1245845130 | Crescent Psychotherapy | Social Worker | 168 Neal St, Portland, ME 04102-3343 | 2020-09-09 |
| 1861007676 | Yvonne Recchia | Social Worker | 5257 Ne Mlk, Portland, OR 97211-3282 | 2020-09-09 |
| 1447864327 | Gordon Keepers | Social Worker | 3181 Sw Sam Jackson Park Rd # Uhs8-l, Portland, OR 97239-3098 | 2020-09-08 |
| 1609484187 | Julie Pratt | Social Worker | 14 Culver Ln, Portland, CT 06480-1323 | 2020-07-21 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.